The lecture discusses in how far the assessment of marginal bone can be a suitable measure for bone integrity and implant oesseointegration. Dr Koka reviews aspects of definition of bone quality and the concept of osseo-sufficiency, and shows that we still are influenced by biases...
The presentation gives an insight on the restoration of edentulous situations from both surgical and restorative aspects, with focus on the immediate function protocol and the All-on-4 solution. Dr Malo reviews the indications and contraindications, advantages and benefits as well...
Teeth extractions are followed by a reduction of the bucco-lingual as well as the vertical dimension of the residual alveolar ridge. The ensuing resorption is progressive and even the basal jaw may become involved. In the lower jaw, the....
Most patients’ mouth opening readily permits access for routine prosthodontic and surgical treatment interventions. Limited mouth opening or microstomia is encountered in patients exposed to sclerodermia, diffuse systemic...
Children and adolescents (during ongoing bone/skeletal development), unless in selected anodontia patients. However, implant placement for orthodontic treatment purposes is indicated.
Uncontrolled metabolic diseases such as Diabetes Mellit...
It is important to evaluate signs indicating if the patient abuses alcohol or takes recreational drugs and may have developed addictions. In general these drugs have a psychedelic,...
The medical history should reveal if the patient takes any prescribed medication and especially whether in the correct dosage. Fear of oral surgery may induce a temporary overconsumption of drugs such as beta-blockers or...
Smoking and nicotine consumption have a constrictive effect on blood vessels thereby reducing blood supply. It increases the susceptibility to periodontal inflammatory diseases, dry extraction sockets and wound healing...
Edentulism as a consequence of (sub)total agenesis of deciduous and/or permanent teeth in children and adolescents is extremely rare. It is commonly a component of a generalized underlying condition such as ectodermal dysplasia. There are...
A thorough risk assessment forms the cornerstone of successful patient treatment. Four key sources of information permit the clinician to identify pertinent risks and to determine the seriousness of each risk...
The key questions in a complete anamnesis are related to: mouth opening, salivary output, presence of mucosal diseases, gingival health, signs of previous periodontal surgeries, tooth hypermobility, TMJ problems, orthodontic...
It is helpful if a clinician is situated so that his/her eyes are at the level of the patient's eyes. For example, if the patient is seated, the clinician should also be seated. It is beneficial if the interview between clinician and...
The lecture discusses the different reasons, why patients loose teeth and the various options for treatment with implant supported restorations. The aspects which need to be considered comprise the reason of tooth loss such as caries, perio disease or apical lesions, and prosthetic...
A 47-year-old male patient diagnosed with a maxillary osteosarcoma, treated with excision, leaving a large oro-antral / oro-nasal fistula. He had to wear an obturator which leaked and was uncomfortable, affecting speech & function with a severe impact on his quality of life.
A 22-year-old male patient presents with ectodermal dysplasia with resultant lack of permanent maxillary and mandibular teeth. He has only 4 malformed maxillary teeth and mandibular cuspids.